Kidney utilization in the Netherlands - do we optimally use our donor organs?
Rianne SchutterWillemijn A L VrijlandtGelske M WeimaRobert A PolJan-Stephan F SandersMeindert J CropHenri G D LeuveninkCyril MoersPublished in: Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association (2022)
The classical definition of organ discard underestimates the non-utilization of deceased donor kidneys. Strategies to improve kidney utilization could be a revision of the maximum allowed agonal time in donation after circulatory death, careful consideration in reporting and accepting kidneys from donors with AKI, and a prospectively filled registry of detailed organ discard reasons, including the 'silent' non-utilization before procurement.